P Praxis·MD
● Active Type 2 · Organization

Devereux Foundation

Psychiatric Residential Treatment Facility·Kennesaw, GA· NPI 1346319142 · Enumerated 2006 · 19 years on NPI
Devereux Foundation is 1 of 30 psychiatric residential treatment facility organizations in Georgia.
NPI age
19 years
Enumerated 2006-11-07
Primary specialty
Psychiatric Residential Treatment Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bolivar
Executive Director
Last NPPES update
2009-01-16
Source: monthly bulk 2026-05

How this organization compares

Across 30 active psychiatric residential treatment facility providers in Georgia.

NPI age
19 years
↑ 10 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-11Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
1291 Stanley Rd Nw
Kennesaw, GA 301524359
📞 7704270147
Mailing address
1283 Kennestone Cir, Suite 100
Marietta, GA 300666029
📞 7704270147fax 7704231502

Authorized official

Mario Bolivar
Executive Director
📞 6873032669

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Psychiatric Residential Treatment Facility Primary
    A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and...
    GA license #5910 taxonomy 323P00000X

Identifiers

TypeValueNotes
05 (GA) 087592297A
05 (NC) 3404521
05 (MD) 700401000
05 (WV) 0002464004

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Devereux Georgia Treatment Network
    Type code 5 recorded 2006-11-07

Practice context

Multi-provider organization. 20 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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